吉林大学学报（医学版）2018，Vol.44Issue(2)：394-397,后插4,5.DOI:10.13481/j.1671-587x.20180234
四肢多发痛风石患者手术治疗临床效果分析(附23例报告)
Analysis of clinical effect of surgical treatment in patients with multiple tophi in extremities:A report of 23 cases
摘要
Abstract
Objective:To explore the key points of preoperative preparation,the experience of operation and attentions of postoperative treatment of surgical treatment in multiple tophi in the extremities.Methods:A total of 23 cases of multiple tophi in extremities were selected,all were male;aged from 31 to 65 years old,average 48.7 years old;the course of the disease ranged from 4 to 20 years,with an average of 9.13 years;the blood uric acid before operation ranged from 380 to 665 μmol·L-1,the level of uric acid was controlled by physicians before operation and the patients were not in the attack period.The patients underwent gout stone resection.Some of the patients underwent functional reconstruction and were treated with standardized gout medicine after operation. Results:Twenty-one cases of incision were grade A healing 2 weeks after operation,and 2 cases of incision still had uric acid salt exudation and healed after debridement suture.Among 23 cases,18 patients were followed for 4-12 months,an average of 8 months;5 patients were lost to follow-up.Compared with before operation,the joint function was improved,the degrees of joint activity were increased,and the discomfort was relieved in 16 patients after operation;there was no improvement in postoperative joint function in 2 patients,and the pain symptom in 1 patient with carpal tunnel syndrome was reduced.Conclusion:When properly indicated,the comprehensive therapy is the best treatment for the patients with multiple tophi in extremities.It is reliable and can improve the quality of life of the patients.关键词
痛风/痛风石/四肢/外科手术/血尿酸Key words
gout/tophi/extremity/surgery/uric acid分类
医药卫生引用本文复制引用
龚喜龙,杨光,孙鸿斌,王悦书..四肢多发痛风石患者手术治疗临床效果分析(附23例报告)[J].吉林大学学报（医学版）,2018,44(2):394-397,后插4,5.基金项目
吉林省科技厅科技发展计划项目资助课题(20170623093-03TC) （20170623093-03TC）
